Destiny Medical Exchange LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

DESTINY MEDICAL EXCHANGE LLC

Doing business as

Destiny Medlink llc

Practice address

14814 Alderwick Dr
Sugar Land, TX 77498-1020

Phone

(713) 269-0050

Fax

(281) 988-7162

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Caroline N ChikereNPI 1972789113

Title

Adminstrator

Phone

(713) 269-0050

Specialties & licenses 1

Addresses

Other names 1

• Destiny Medlink llc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline N Chikere

  • Case Manager/Care Coordinator
  • Sugar Land, TX
  • NPI 1972789113
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1881142875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11569 S HIGHWAY 6 # 164",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774984932",
            "telephone_number": "713-269-0050",
            "fax_number": "281-988-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14814 ALDERWICK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981020",
            "telephone_number": "713-269-0050",
            "fax_number": "281-988-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY MEDICAL EXCHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "CHIKERE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "713-269-0050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destiny Medlink llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roma Desai
• Sandip R Desai, MD
• Shetal Rohit Desai, DPM
• Desert Palm Healthcare (Southwest Urgent Care)
• Design Health Systems, Inc.
• Mallory M. Detranaltes, LPC-A
• Talluri Devi, M.D.
• Tara Coker Devine, LPC-S, LMFT-S, LCDC
• David Devorkin, MD
• Ashvin Kumar Dewan, MD

• PACE Provider Organization in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• PACE Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.